Should you meet Meaningful Use

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How to look at Meaningful Use and what questions should you evaluate to determine if you should try to meet it.

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Should you meet Meaningful Use

  1. 1. Should you try to meet Meaningful Use? Healthcare IT Strategy [email_address]
  2. 2. Does Meaningful Use work for You?
  3. 3. Does meeting MU align with your business strategy? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  4. 4. Does Meaningful Use work for you? <ul><li>The CMS created a decision point. You must weigh meeting Meaningful Use. </li></ul>Meet Meaningful Use Do NOT meet Meaningful Use
  5. 5. Meeting Meaningful Use kicks off a chain reaction <ul><li>What if MU changes after you are committed to as strategy? </li></ul>
  6. 6. What might your options be? <ul><li>Fortunately, there are several options to evaluate. </li></ul>Full MU Delay meeting MU Phased MU ??? ?? NO MU
  7. 7. What should your MU Strategy be? <ul><li>You must decide how to define how to quantify your </li></ul><ul><li>strategy for MU. </li></ul>
  8. 8. Why is this decision critical? <ul><li>External influencers will squeeze your Business and HIS </li></ul><ul><li>strategy. </li></ul>MU PROVIDER Reform
  9. 9. Why is this decision critical? <ul><li>You need to ascertain where to place each option </li></ul>
  10. 10. Why is this decision critical? <ul><li>Once the nose of the camel gets under the tent… </li></ul>The camel wants to get all the way in. The government is moving towards a national healthcare business model. You have your own model. Do they complement one another or conflict?
  11. 11. More is unknown than known <ul><li>What is unknown cannot be controlled </li></ul>N-HIN Change requirements Standards No leader Plan B? Reform HIE Date Change
  12. 12. How do we plan your HIT strategy? <ul><li>What are the influencers and inputs? </li></ul>Your Strategic Plan HIT initiatives Align to Reform Strategic GAPS MU options Your HIS Strategy Meaningful Use Decision Text HIT platform Tie to HIT strategy
  13. 13. Should you attempt to meet Meaningful Use and why? Do you meet MU Yes No
  14. 14. Should you attempt to meet Meaningful Use and why? Do you meet MU Yes Full MU Partial By what date What Option By When No What’s the plan
  15. 15. If Full MU, what is the best date for you to meet it? Full MU By what date 2011 2012 21013 21014 21015
  16. 16. What are the ARRA implications to you of the dates for full MU? What are the implications? 2011 2012 2013 2014 2015 100% of incentive 100% of incentive 100% of incentive 60% of incentive 30% of incentive
  17. 17. What are the risks to you of seeking to meet full MU? What are the risks prior to 2016 Probability of passing MU? External risks? Align with your strategy? Meeting your key metrics? PENALTIES After 2016
  18. 18. What is the probability of passing the MU test for full MU? What is the probability of passing MU? Determine by year of test What are Stage 2 requirements What are Stage 3 requirements If the date change If the requirements change Vendor certification Impact of reform Affect on your strategy
  19. 19. What are the external risks to passing the MU test for full MU? What are the External Risks Determine by year of test Vendor Support Regulatory reform Acquisitions by your firm HIT staff shortages Change in Medicare payments Impact of reform Affect on strategy
  20. 20. Does passing the MU test for full MU align with your strategy? How does MU align with your strategy Quality and Safety Culture and Service Centralize Business Support Labor Productivity Supply Cost Revenue Cycle Patient Retention Primary care growth Physician Collaboration Growth
  21. 21. Does passing the MU test for full MU align with your metrics? How does MU align with your metrics Increase culture scores Increase operational excellence Improve customer service Increase clinical quality Increase staff satisfaction Decrease length of stay Decrease waiting times
  22. 22. What HIT projects do you have to do to meet full MU requirements? What’s needed for 2011 Clinical Transformation Standard orders EO Rx Meaningful Use CPOE Eligibility checking upgrades Quality performance Other years should be similar in terms of tasks
  23. 23. What influencers should be considered to meet full MU requirements? What are the Influencers Cost Staffing Other HIS projects Meaningful Use CPOE When can you complete What is the ROI Stage 2 & 3 requirements Other years should be similar in terms of tasks
  24. 24. What costs should be understood to meet full MU requirements? What is the Cost Systems Staffing training Change management Work flow improvement What is the ROI Other years should be similar in terms of tasks
  25. 25. What staffing should be answered to decide meeting full MU requirements? What are staffing needs How many By when? Skill sets Contractors Other years should be similar in terms of tasks
  26. 26. What does meeting full MU requirements do to other projects? What are Non-MU projects What are they Can they be delayed Allocating funds Allocating staff Other years should be similar in terms of tasks
  27. 27. What is the impact of doing CPOE? What is CPOE’s impact Would you do CPOE without MU CPOE is the bulk of work and risk What is chance of success Allocating staff Other years should be similar in terms of tasks
  28. 28. What is the best year to meet MU requirements? When can you complete MU 2011-2013 2014-2015 What is the ROI by year Impact of year on HIT projects Other years should be similar in terms of tasks
  29. 29. What will be the requirements of Stages 2 & 3 with MU? What are Stages 2 & 3 Unknown requirements Unknown cost Unknown risk What is chance of success Other years should be similar in terms of tasks
  30. 30. How do you measure the risk of trying to meet MU? Perform Risk Analysis Determine individual risks Determine their probability Determine their impact Map options by year to risks Develop risk matrix

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